Anemia, hematinic deficiencies, and hyperhomocysteinemia in gastric parietal cell antibody-positive and -negative burning mouth syndrome patients
Journal
Journal of the Formosan Medical Association
Journal Volume
120
Journal Issue
2
Pages
819-826
Date Issued
2021
Author(s)
Abstract
Background/Purpose: Our previous study found the serum gastric parietal cell antibody (GPCA) positivity in 12.3% of burning mouth syndrome (BMS) patients. This study assessed whether GPCA-positive BMS (GPCA+BMS) patients had significantly higher frequencies of macrocytosis, anemia, hematinic deficiencies, and hyperhomocysteinemia than healthy control subjects or GPCA-negative BMS (GPCA?BMS) patients. Methods: The mean corpuscular volume, blood hemoglobin (Hb), and serum iron, vitamin B12, folic acid, homocysteine, and GPCA levels were measured and compared between any two of three groups of 109 GPCA+BMS patients, 775 GPCA?BMS patients, and 442 healthy control subjects. Results: We found that 109 GPCA+BMS patients had significantly higher frequencies of macrocytosis, blood Hb and serum iron and vitamin B12 deficiencies, and hyperhomocysteinemia than 442 healthy control subjects (all P-values < 0.001) and significantly higher frequencies of macrocytosis, blood Hb and serum vitamin B12 deficiencies, and hyperhomocysteinemia than 775 GPCA?BMS patients (all P-values < 0.01). Moreover, 775 GPCA?BMS patients had significantly higher frequencies of macrocytosis, blood Hb and serum iron, vitamin B12, and folic acid deficiencies, and hyperhomocysteinemia than 442 healthy control subjects (all P-values < 0.005). Pernicious anemia (45.5%) and normocytic anemia (24.2%) were the two most common types of anemia in 33 anemic GPCA+BMS patients. Moreover, normocytic anemia (61.3%), thalassemia trait-induced anemia (15.5%), and iron deficiency anemia (14.1%) were the three most common types of anemia in 142 anemic GPCA?BMS patients. Conclusion: GPCA+BMS patients have significantly higher frequencies of macrocytosis, blood Hb and serum vitamin B12 deficiencies, and hyperhomocysteinemia than healthy control subjects or GPCA?BMS patients. ? 2020 Formosan Medical Association
SDGs
Other Subjects
cyanocobalamin; folic acid; hemoglobin; homocysteine; iron; parietal cell antibody; antianemic agent; cyanocobalamin; folic acid; hemoglobin; iron; adult; aged; anemia; antibody blood level; Article; B12 deficiency; blood cell count; burning mouth syndrome; controlled study; erythrocyte; female; fluorescence; folic acid blood level; folic acid deficiency; hemoglobin blood level; human; hyperhomocysteinemia; immunofluorescence; iron blood level; iron deficiency anemia; macrocytic anemia; major clinical study; male; mean corpuscular volume; megalocytosis; microcytic anemia; microcytosis; oral paresthesia; pernicious anemia; taste disorder; thalassemia; vitamin blood level; xerostomia; burning mouth syndrome; complication; cyanocobalamin deficiency; folic acid deficiency; glossitis; hyperhomocysteinemia; stomach parietal cell; Anemia; Burning Mouth Syndrome; Folic Acid; Folic Acid Deficiency; Glossitis; Hematinics; Hemoglobins; Humans; Hyperhomocysteinemia; Iron; Parietal Cells, Gastric; Vitamin B 12; Vitamin B 12 Deficiency
Publisher
Elsevier B.V.
Type
journal article